Individual
DR. MICHAEL PATRICK MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1010
Mailing address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11433
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154052101
—
KS
Enumeration date
06/29/2006
Last updated
05/16/2012
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